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Organization
LUTFI T TOMBULOGLU MD SC
Active
Organization
LUTFI T TOMBULOGLU MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEDRIYE TOMBULOGLU MD (PRESIDENT)
(414) 545-5500
Entity
Organization
Contact information
Practice address
4325 S 60TH ST, GREENFIELD, WI 53220-3508
(414) 545-5500
(414) 545-5335
Mailing address
4325 S 60TH ST, GREENFIELD, WI 53220-3508
(414) 545-5500
(414) 545-5335
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
17161-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30966100
—
WI
Enumeration date
01/09/2007
Last updated
11/09/2022
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